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NPI Code Detail

MEDICARE: DR. BRIAN VENERABLE D.C.

MEDICARE:  DR. BRIAN  VENERABLE  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC25530CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC25530OTHERCALICENSE

General Provider Information

NPI Number : 1538366414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN VENERABLE D.C.
Provider Business Mailing Address
First Line : 9130 LAS TUNAS DR
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1903
Country : US
Telephone Number : 626-309-9204
Fax Number : 626-286-7552
Provider Business Practice Location Address
First Line : 9130 LAS TUNAS DR
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1903
Country : US
Telephone Number : 626-309-9204
Fax Number : 626-286-7552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 03/25/2008

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Directions to “ DR. BRIAN VENERABLE D.C.” Practice Location

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